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healthsmart!
What to Do if You Have
Multiple Medical Problems
Who has multiple medical problems?
Millions of Americans have multiple medical
problems—two or more medical conditions that
require the care of different doctors. For example,
a patient may see different doctors to manage his
arthritis, diabetes and stroke recovery. The
percentage of Americans with multiple medical
problems increases with age, ranging from 10 percent
of those age 0-19 years old to almost 80 percent for
those more than 80 years old. About 20 percent of
Medicare beneficiaries have five or more chronic
medical problems. Treatments for multiple medical
problems must be managed together to prevent
harmful risks that may result when caring for
separate illnesses on an individual basis.
What are the results of
multiple medical problems?
• Diagnostic tests or drugs for one condition may
create unexpected negative side effects with
other conditions.
• Patients with multiple medical problems are
more likely to have complications, be readmitted
to the hospital, spend more time in the hospital
and need more resources than patients being
treated for one condition.
• Surgery and other treatments for one problem
are often delayed until the second problem is
under control.
Example of someone with
a multiple medical problem
Susan Citizen, 52, has struggled with severe
asthma since childhood. In her 30s, she
developed high blood pressure and was later
diagnosed with diabetes in her 40s. Now in her
50s, she was recently diagnosed with heart
disease. In addition to visiting her family doctor,
Susan sees a separate specialist for each of
her medical conditions: asthma, high blood
pressure, diabetes and heart disease. Taking
five different medications, she averages
several visits to a different doctor each
month for her medical care.
• Patients often require the collaboration of
several specialists to effectively manage multiple
medical problems.
• Patients with multiple medical problems are less
likely to be satisfied with their quality of life.
Who can diagnose and treat
multiple problems?
Advanced medical centers like UK HealthCare
have access to expert physicians, nurses and
other health care professionals. These centers
lead the way for improving the quality of care and
introducing new and better ways to take care of
patients. An organization that sees many patients
with multiple problems develops familiarity with
their special challenges.
Because many patients with multiple problems are
age 65 or older, an organization with a focus on
seniors is important. For example, UK HealthCare
is home to the internationally recognized
Sanders-Brown Center on Aging.
Questions to ask your doctor
• Will two or more doctors be involved in
my care?
• How experienced are the doctors in handling the
combination of problems I have?
• How experienced are the doctors in
working together?
• How will my care be coordinated?
• Are complications likely, and if so, what
are they?
• How quickly can I expect to get better?
• Should I get a second opinion?
• If new drugs are given during my treatment,
how will they interact with current drugs and
what are the side effects?
Helpful tips
Keep a written record of your medical history.
Common diseases for Kentuckians
with multiple medical problems
• Diabetes
• Lung diseases
• High blood pressure
• Heart disease
• Cancer
• Stroke
• Depression
• Arthritis
UK HealthCare
UK HealthCare includes UK Hospital, Kentucky
Children’s Hospital, Kentucky Clinic, Kentucky
Clinic North, Kentucky Clinic South, 80 specialized
clinics, 143 outreach programs and a team of 6,000
physicians, nurses, pharmacists and health care
workers all dedicated to your health. As part of an
academic medical center, we work together with the
Colleges of Medicine, Pharmacy, Nursing, Health
Sciences, Dentistry and Public Health to ensure you
receive the highest quality health care and have the
latest health care information.
The unique capabililities of this multispecialty group
practice enables care providers of UK HealthCare
to collaborate in multidisciplinary teams for patient
care. Such teams are useful for managing complex
medical and surgical cares.
• Doctors’ names and phone numbers
• Illnesses and diagnosis dates
• Medications
• Alternative treatments
• Surgeries
• Problem, questions and concerns
6-201
Call UK Health Connection at (859) 257-1000
or toll free (800) 333-8874 to make an
appointment or request a referral. Visit us
online at ukhealthcare.uky.edu.